3,3'-Diindolylmethane (DIM) is an acid-derived dimer of indole-3-carbinol, found in many cruciferous vegetables, such as broccoli, and has been shown to inhibit prostate cancer (PCa) in several in vitro and in vivo models. We demonstrated that DIM stimulated both estrogen receptor alpha (ERα) and estrogen receptor beta (ERβ) transcriptional activities and propose that ERβ plays a role in mediating DIM's inhibition on cancer cell growth. To further study the effects of DIM on inhibiting advanced PCa development, we tested DIM in TRAMP (TRansgenic Adenocarcinoma of the Mouse Prostate) mice. The control group of mice were fed a high fat diet. Three additional groups of mice were fed the same high fat diet supplemented with 0.04%, 0.2% and 1% DIM. Incidence of advanced PCa, poorly differentiated carcinoma (PDC), in the control group was 60%. 1% DIM dramatically reduced PDC incidence to 24% (p=0.0012), while 0.2% and 0.04% DIM reduced PDC incidence to 38% (p=0.047) and 45% (p=0.14) respectively. Though DIM did affect mice weights, statistical analysis showed a clear negative association between DIM concentration and PDC incidence with p=0.004, while the association between body weight and PDC incidence was not significant (p=0.953). In conclusion, our results show that dietary DIM can inhibit the most aggressive stage of prostate cancer at concentration lower than previously demonstrated, possibly working through an estrogen receptor mediated mechanism.(PDC) prevention. Previously our lab demonstrated that in TRAMP mice, ERα stimulated advanced prostate cancer while ERβ inhibited it [34]. In this case, we examined DIM's effect on estrogen receptor which suggested a role for ER in DIM's prevention of advanced prostate cancer.
Materials and MethodsReagents 17β-estradiol (E2) was purchased from Sigma Aldrich (St. Louis, MO). DIM used in cell culture was purchased from Sigma Aldrich (St. Louis, MO); DIM used in animal studies was purchased from BulkSupplements.com (Henderson, NV) and its purity was verified by HPLC as >98%. ICI 182,780 was a gift from Dr. Rex Hess (UI-UC).
AnimalsAnimal study protocols were approved by the Animal Care and Use Committee of the University of Missouri and all institutional guidelines for animal welfare and use were followed. Study mice were bred by crossing male FVB TRAMP mice with C57BL/6 female mice to generate F1 C57/FVB hybrid male TRAMP mice as described previously [35]. TRAMP positive F1 males received study diets starting from 6 weeks of age, as TRAMP mice begin forming tumors after the onset of puberty (usually around 8 weeks of age) and continued until study termination. Study mice were housed 2-3 per micro-isolator cages and given free access to food and water, under the condition of a daily light: dark cycle of 12:12h, ambient temperature at 21℃, and humidity at 50% throughout the study. Mice were weighed every week to monitor body weight and tumor